小切口治疗急性阑尾炎的临床观察  

The Small Incision Treatment Acute Appendicitis's Clinical Observation

作　　者：王志敏[1] 

机构地区：[1]成都大学附属医院普外科,成都610081

出　　处：《中国卫生产业》2011年第12期28-29,共2页China Health Industry

摘　　要：目的探讨腹部小切口治疗急性阑尾炎的临床价值。方法选取2009年8月至2011年8月期间采用腹部小切口行阑尾切除术的患者35例(观察组),传统手术方式的患者30例(对照组),比较2者手术一般情况及术后并发症发生率。结果观察组患者手术时间、术中出血量、术后排气时间、术后止痛药物使用率及术后住院时间等,均优于对照组,差异存在统计学意义(P<0.05);观察组患者并发症发生率为8.57%,明显低于对照组的23.33%,2者存在统计学差异(P<0.05)。结论腹部小切口阑尾切除术,具有切口小、手术时间短、创伤轻、疤痕小而美观、术后恢复快及并发症少等优点,同时手术方法相对要求不高,值得临床推广应用,尤其适合基层医院。Objective To investigate the treatment of acute appendicitis abdominal incision clinical value. Methods From August 2009 to August 2011 period using a small abdominal incision appendectomy in 35 patients （study group）, the traditional surgical approach in 30 patients （control group）, compared with both surgery and general surgery After the complication rate. Results The patients with surgical time, blood loss, postoperative discharge time, postoperative pain medication usage and postoperative length of stay, than the control group, there was significant difference （J~~0.05）; observation group of patients with complications was 8.57%, significantly lower than the control group, 23.33%, there are two significant differences （J~〈0.05）. Conclusion small abdominal incision appendectomy, with a small incision, shorter operative time, trauma light, small and beautiful scars, rapid recovery and fewer complications, and surgical methods is relatively less demanding, is worthy of clinical application, especially for the primary hospital.

关 键 词：急性阑尾炎 手术治疗 小切口 开腹手术 

分 类 号：R658.8[医药卫生—外科学]